Organization Active NPI

Class Family Chiropractic, LLC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1518360502
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3355 Issued in SC
Legal business name
CLASS FAMILY CHIROPRACTIC, LLC
Practice address
1501 N Highway 17
Unit H
Mt Pleasant, SC 29464-3342
Phone
(843) 284-8410
NPI assigned
Oct 3, 2014
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian D. ClassNPI 1689838971
Title
Doctor/Owner
Phone
(843) 284-8410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3355 SC Primary

Addresses

Primary practice location

1501 N Highway 17
Unit H
Mt Pleasant, SC 29464-3342

Mailing address

1501 N Highway 17
Unit H
Mt Pleasant, SC 29464-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141017001180 SC Part B Supplier - Clinic/Group Practice 9133340037 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

1501 N Highway 17
Unit H
Mt Pleasant, SC 29464
Phone (843) 284-8410

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1518360502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N HIGHWAY 17",
            "address_2": "UNIT H",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N HIGHWAY 17",
            "address_2": "UNIT H",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643342",
            "telephone_number": "843-284-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "CLASS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "843-284-8410",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.